PAINT PERMIT` PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 24 1 oc Job Address 1 (0 J J E lO I S+ Tax Folio
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant PG v \ S 1 ✓ g n ne n
Owner's Address ( 2 (o3 N E lot Si e et
C o n t r a c t i n g Co. COvrI SUS 18 e CrLyn s Coo r) a - Opt/ •
Qualifier F(C1 ✓1 C-c� S S . SO ZC1 - Luc
State # L GC Oo SG1 O 7 B Municipal # Competency #
Address
Architect/Engineer
Bonding Company
Mortgagor
j /A
ti /A
Permit Type (circle one): BUILDING
WORK DESCRIPTION
Square Ft. 2 3e0 S� T
WARNING TO OWNER: YOU MUST RECORD Z
PAYING TWICE FOR IMPROVEMENTS TO YC
OR AN ATTORNEY BEFORE RECORDING Y(
Application is hereby made to obtain a permit to do wort
will be performed to meet the standards of all laws regu
PLUMBING, SIGNS, POOLS, ROOFING and MEC
Signature of owner and/or Condo President
APPROVED:
Zoning
Mechanical
\2y lov
and/or C • ;, I President Date
Ktl
o # CC743460
EXPIRES JUL 23. 2002
of f‘,0 ADVANTAGE NOTARY OF FLORIDA
14. 44 BONDED THROUGH
FEES: PERMIT 50 RADON
ELECTRICAL PLUMBING MECHANICAJ OOFING PAVING FENCE SIGN
io f vI AA an
Estimated Cost (value) ` 3 ,OCcO
0 DO SO MAY RESULT IN YOUR
CONSULT WITH YOUR LENDER
7
SS# _
Address
Address
•
OWNER'S AFFIDAVIT: I certify that all the foregoing that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
--logo
Date
Si : ture of C 'ntractor or Builder
C.C.F. 1/26 6 NOTARY
Master Permit # 416 7 97
Phone
r
Address l (011 SUi
oWhite _ _
SW2123
Ins. Co.
No
BOND
TOTAL DUE 17 —
4
tc�l S+ 3157
Phone 232 („(,,g 8 Z
• 1(if applicable). I certify that all work
ermits are required for ELECTRICAL
Date
��o I2y)
to Contractor or - Builder Date
ssion E • Po ZUI �:• PEREZ
e LLpCOMMISSION # CC743460
EXPIRES JUL 23.2002
v ^` pf BONDED THROUGH
f\0 ADVANTAGE NOTARY OF FLORIDA
P �(
Building v 0" /64 Electrical
Plumbing Structural Engineer
• NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO. 11- 3205 - 025 -0040
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address: 1203 NE 101 Street - Miami Shores, Fl
2. Description of improvement:
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: Countryside Construct
11011 SW 161 Street - Miami, F1 33157
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: N/A
Amount of bond $
6. Lender's name and address:
Exterior Painting of House
Paul Shannon - 1203 NE 101 Street - Miami Shores, F1
N/
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: N/A
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address: N/A
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified) March 27, 2001
I
Signature of Owner
Print Owners Name
Sworn to and subscribed before me this 27 day of M curan 200.0
pail Shanna
Notary Public <,COMMISSION 1 CC743460
n c oY P1 4, ZOILA C. PEREZ
Nota �� 1< 7 �o ,g
txr.KCJ JUL 23 2002
Print Notary's
ary's Nape z o i G �e z- ^` o BONDED THROUGH
My Commission Expires: IA 2 -3 2 00 '2,
STAT(r OF FLORIDA. COUNT OF DADE
N RFaY: f :RTIrY that thrs is
�t,y►ttal dl .a t , ht; �t tt�e On
HARVEY FRAM
By
ODOR 143522 2000 MAR 27 14 :29
& Development, Inc.
Prepared by: F v 9 S S. SO 7a. -
L.i(j
Address: 1 1011 5(.L 1 c 1 S+
MlaM t PI 7)31S
� otar as to Owner a
My Commission Expire
** *
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /- 0. - F3 Job dress /a4 3 ff E . /0/ 1 Tax Folio 1/ ' ae X 30 #7' 2-
Legal Description
)�/6. ' eli
/ 4 , �,,/tf.(
Owner / Lessee / Tenant .Tk / JI/,/0/ti Master Permit #1..%WJ
Owner's Address /r2 1 4/, 6. /d / S7 T Phone 7S/ 909/
Contracting Co. 7//) Pia /W7 mj Address /D477 o.P44 / iy
Qualifier t.le a F /D Phone /400 c. 5// 3 �
State # Municipal # Competency # 9a Ins.Co. 5/47 7 'hI
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FE NCE SIGN
WORK DESCRIPTION :persSc/2E 6 6 ' eq Z7,e 1 4rSE - 7"3f6;// 4)%", / IF'
�P
Square Ft. lip'& y/4 Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above-named contractor to do the work stated.
Signatur of wner and /or Condo President
Date: j � f93
FEES: PERMITJ''S RADON C.C.F. I/ ' NOTARY S TOTAL DUEY "i ` 0 0
APPROVED:
Zoning
l
Mechanical Plumbing_
Fire
**
Other
Electrical
Engineering